Late Stage Melanoma: Be sure to screen uninsured unmarried men

Details

• Alternative Title:
  South Med J
• Personal Author:
  Valentin, Virginia L. ; Sanderson, Wayne ; Westrom, Susan ; Durbin, Eric
• Description:
  Objective:
  
  The purpose of this study is to assess for any associations between individual and social factors and late-stage melanoma in Kentucky from 1995 to 2013.
  
  Methods:
  
  The study combines three datasets: individual level data from the Kentucky Cancer Registry (KCR), census tract level data from the United States (US) Census and county level physician licensure data from the Kentucky Department of Public Health. The study population is described by all cases, early-stage and late-stage. Logistic regression was used to evaluate the unadjusted associations between each covariate and early-stage and late-stage disease groups. All significant variables were assessed for interaction effect and the significant interaction terms were used in the final model. Multiple logistic regression provided the final model of late-stage disease.
  
  Results:
  
  In this study population, a dramatic increase in melanoma incidence is seen from 1995 to 2013 with a three-fold increase in the number of cases per year. Of the 10,109 cases reported, 13.6% have late-stage disease with a mean age for all cases at 56.9 years and the majority male. Late-stage cases are more commonly uninsured or insured with Medicaid or Medicare compared to early-stage lesions. Having a spouse or partner is clearly protective from being diagnosed with late-stage melanoma while being uninsured or having Medicaid increases the odds of late-stage melanoma.
  
  Conclusion:
  
  The incidence of melanoma is dramatically increasing. With no screening recommendation for the general population from the US Preventative Task Force, clinicians should focus on those at increased risk of late-stage melanoma; unmarried men who are uninsured or on Medicaid. 12
  
  
• Subjects:
  Adolescent Adult Aged Humans Incidence Male Medicaid Medically Uninsured Melanoma Middle Aged Neoplasm Staging Registries Single Person Skin Neoplasms

  More +
• Source:
  South Med J. 111(11):649-653
• Pubmed ID:
  30391998
• Pubmed Central ID:
  PMC9272562
• Document Type:
  Journal Article
• Funding:
  P30 CA177558/CA/NCI NIH HHSUnited States/ ; T42 OH010278/OH/NIOSH CDC HHSUnited States/
• Place as Subject:
  Kentucky ; United States
• Volume:
  111
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:dcc5d27775ad5c8aad4e1f3487d3a312e6a2badafcbc727eb1bbba02b937c703dab857d54b795f90d335ce6c4e64592f3b7dd3f61b3c9f44dca180ece1935fb5
• Download URL:
  https://stacks.cdc.gov/view/cdc/126587/cdc_126587_DS1.pdf
• File Type:
  [PDF - 202.69 KB ]